It’s Not Just Skin Deep—Ageing Happens in Layers
Many people focus on wrinkles when they think of ageing. But in truth, facial volume loss is often the biggest culprit behind a tired, sunken, or aged appearance. Even if your skin is smooth, your face may still appear older due to the subtle but significant shifts that occur beneath the surface.
Facial ageing is now understood as a three-dimensional process involving:
Loss of deep bone support
Shift and deflation of mid-face fat compartments
Thinning and sagging of the skin
Together, these lead to the classic signs of ageing:
Flattened cheeks
Hollow temples and tear troughs
Sagging jawline and jowls
Deepened folds and wrinkles
Dull, deflated-looking skin
Why Does My Face Look Tired?
Your Non-Surgical Path to a Fresher Look
Personalised Treatment Options Dr Joanna Teh tailors every treatment to your individual face, lifestyle, and goals. Whether it’s restoring glow, lifting sagging skin or treating dark circles—our treatments are designed to make you look refreshed, not altered.
Your facial bones act like scaffolding. Over time, they recede and shrink, particularly in the midface, eye sockets, nose, and jaw. This structural loss causes:
Under-eye hollows
A flatter mid-face
A wider, drooping lower face
Reduced chin and jawline definition
Why It Matters:
Without the bone structure to “hold” the face, even firm skin will begin to sag and collapse inward. This bone loss is one of the most dramatic contributors to an aged appearance—but it often goes unaddressed.
Dermedica’s Approach:
Dr Teh uses advanced structural volumisers to rebuild deep support. These are placed directly on bone to restore projection to the cheeks, chin, or under-eye area—giving the face its youthful angles back.
The fat pads in our face provide fullness, lift, and soft contours. As we age:
Fat pads diminish or shift downward
The cheeks lose their roundness
Folds around the mouth deepen
Eyes look sunken, and temples hollow
Why It Matters:
Fat pad changes cause the skin to droop. You may look gaunt or drawn—even if you’re not tired.
Dermedica’s Approach:
Dr Teh targets individual fat compartments using precise volumising techniques that replace what’s lost, not overfill. She understands the architecture of the face, applying volume where it used to exist naturally.
As we age, our skin:
Loses collagen, elastin, and hyaluronic acid
Becomes thinner, drier, and less elastic
Sags because the deeper layers are shrinking beneath it
Why It Matters:
Even if we restore volume deeper down, the skin needs support from within to reflect a healthy, hydrated glow.
Dermedica’s Approach:
Treatments like Rejuran, Collagen stimulating treatments, Exilis, or Laser Rejuvenation can rebuild the skin’s structure, restore elasticity, and boost hydration.
Layered ageing is a concept supported by both dermatological studies and real-world clinical outcomes. Each layer of the face responds to ageing in different ways:
Bone loss contributes to structural collapse
Fat loss or repositioning leads to hollowing and sagging
Dermal thinning results in fine lines, dullness, and crepey texture
Combining treatments that address each layer leads to more effective, longer-lasting, and natural rejuvenation.
At Dermedica, we don’t just “fill wrinkles”—we restore volume and proportion through a sophisticated understanding of facial anatomy.
Treating only the skin (e.g., with creams or superficial fillers) may improve texture or fine lines, but without supporting the deeper structures, results will be short-lived or look unnatural.
Dermedica’s layered strategy means:
Longer-lasting, more balanced results
Natural-looking facial rejuvenation
A harmonious, refreshed appearance
At Dermedica, all treatments are under the guidance of Dr. Joanna Teh
(General and Specialist Registration – General Practice – MED0001531429) and her team of experienced Nurses and Dermal Therapists.
*Representative examples, individual results may vary. Some patients may require 1 or more treatments. To find out if you will achieve these results, we recommend a thorough assessment with Dr Joanna Teh and her team
Dr. Joanna Teh provides personalized assessments to determine your suitability for treatment. Every individual is unique, and a thorough consultation is required to discuss your goals, medical history, and potential risks.
At Dermedica, we welcome clients from all over the region seeking professional, doctor-led skin rejuvenation and non-surgical body treatments. Conveniently located in Scarborough, our clinic is easily accessible for residents of Scarborough, City Beach, Trigg, Doubleview, Wembley Downs, and the greater Perth area. If you are looking for trusted, non-surgical treatment near you, contact our clinic today to begin your skin journey.
Whether you want to chat with Dr Joanna Teh and her team of experts or lock in a booking, we’re here to guide you to make the right decision. Fill in the form below to explore your options with total confidence.
Breakouts and post-acne marks on the chest that may appear as red spots, dark pigmentation, or uneven texture.
Tiny red or purple veins visible on the surface of the chest, commonly resulting from sun damage or skin thinning.
Small, red vascular bumps on the chest that are benign but may increase in number with age.
Thin, wrinkled skin on the chest that lacks firmness and elasticity, typically due to sun exposure and ageing.
Patchy brown or grey pigmentation on the chest, often triggered by sun exposure, hormones, or inflammation.
Dark spots or uneven skin tone on the chest, often caused by sun exposure or ageing.
Loose or drooping skin on the chest caused by collagen loss and decreased skin elasticity over time.
Active breakouts or lingering scars in the neck area, which can range from red marks to deeper textural changes.
Visible small red or purple blood vessels just under the skin, often caused by sun exposure, ageing, or skin trauma.
Small, bright red spots caused by clusters of blood vessels, typically harmless but can become more prominent with age.
Thin, finely wrinkled skin that resembles crepe paper, often due to collagen loss and sun damage.
Brown or grey-brown patches on the neck caused by hormonal changes, sun exposure, or skin inflammation.
Uneven skin tone caused by sun damage, ageing, or inflammation, leading to dark spots or patches on the neck.
Loss of firmness and elasticity in the neck area, commonly associated with ageing and decreased collagen production.
Breakouts around the chin are often hormonally driven and can lead to lingering scars, texture irregularities, or pigmentation.
A flat, receding or uneven chin can subtly impact your facial balance. Restoring shape and projection in the chin area can enhance harmony, confidence, and the way you’re perceived in profile.
Horizontal lines or deep creases across the chin often develop with age or repeated muscle movement, contributing to a tired or aged look.
Sun exposure or post-inflammatory changes can cause dark spots, uneven skin tone, or freckles to form on the chin area.
Do you notice persistent redness or small red veins around your chin? These may be signs of broken capillaries or spider veins — a common concern that often becomes more visible with age or sensitivity. While subtle, they can affect how you feel in photos, under makeup, or in daylight.
Loss of skin firmness along the jawline and lower face can lead to the appearance of jowls and deepened marionette lines, often due to aging, collagen loss, or gravity.
Marionette lines and jowls can create a downturned expression, making the face appear sad or fatigued even when well-rested.
Chronic sun exposure accelerates collagen breakdown, leading to premature skin aging, uneven tone, and deeper lines around the mouth and jaw.
A double chin refers to the appearance of excess fat or sagging skin beneath the chin and along the jawline. It can be caused by aging, genetics, poor skin elasticity, or weight gain. This concern may lead to a softer jawline and less facial definition, even in people with a healthy weight.
Accumulation of fat under the chin that creates a “double chin” appearance.
Loosened or lax skin under the chin and jawline, often due to ageing or weight changes.
Smile lines, or nasolabial folds, are the natural creases that run from the nose to the mouth. They can become more prominent over time due to ageing and facial movement.
Reducing lower face fullness (often from muscle or fat) to create a more contoured, V-shaped appearance
Laxity along the jawline can cause jowls and blur the definition of the lower face.
Treatments aim to tighten the skin and enhance jawline definition for a sculpted, youthful look.
Rejuvenation of the jawline with a focus on skin tightening and revitalising tired or heavy-looking lower face.
Inflammatory acne and lingering scars on the cheeks can impact skin texture and confidence.
Sun-induced spots or uneven skin tone often appear prominently on the cheeks, creating a mottled or patchy appearance
A lack of definition or volume in the cheek area may affect overall facial balance and profile.
Hormonal pigmentation commonly affects the cheeks in symmetrical brown or greyish patches, often triggered by sun and heat.
Loss of volume and firmness in the cheeks can lead to a drawn or aged appearance.
Redness, flushing, and visible veins frequently affect the cheeks, especially in sensitive or rosacea-prone skin.
Fine lines, volume loss, and dryness around the lips can develop with age, affecting lip shape and definition
Dark patches or uneven tone may appear on or around the lips due to sun exposure, hormonal changes, or inflammation
Breakouts around the mouth and chin can lead to inflammation and scarring, often worsened by hormonal fluctuations or mask-wearing.
Breakouts and post-inflammatory marks commonly appear on the nose due to excess oil and clogged pores
Small brown spots or uneven skin tone caused by sun exposure can concentrate on the bridge and tip of the nose.
Discolouration beneath the eyes that can make the area appear shadowed or tired.
The nose often shows enlarged pores and blackheads due to high sebaceous activity and buildup.
Though more common on the cheeks and forehead, melasma may appear on the nose as symmetrical brown patches triggered by hormones and sun exposure.
Fine lines that appear around the outer corners of the eyes, often more noticeable with facial movement or smiling.
Discolouration beneath the eyes that can make the area appear shadowed or tired.
A heaviness or sagging appearance of the upper eyelid area, which can contribute to a more tired or aged look.
Mild swelling or puffiness under the eyes, often associated with fluid retention or skin changes over time.
A common concern where the eye area may appear dull, puffy, or shadowed, often giving a fatigued or less refreshed appearance.
Visible creases or folds beneath the eyes, which may become more noticeable with age or repeated facial expressions.
Improve skin texture and clarity by addressing active acne and reducing the appearance of post-acne marks.
Small, red to purple raised spots on the forehead caused by clusters of dilated blood vessels; typically harmless but can become more noticeable with age
Smooth and refresh the appearance of forehead lines caused by repetitive movement and ageing.
Help reduce the appearance of deep creases between the brows caused by repeated frowning or stress.
Fade the look of sun spots, freckles, and uneven pigmentation for a more even-toned complexion.
Support the management of hormonally triggered pigmentation with tailored skin treatments.
Enlarged pores on the forehead are often due to excess oil, aging, or sun damage, making the skin texture appear uneven.
Calm visible redness and reduce flare-ups with treatments designed for sensitive, redness-prone skin.
